Individual ProviderBradley Darian ScottOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3463 Magic Dr Ste 255, San Antonio, TX 78229-2998(210) 582-5840PECOS EnrollmentBased on the most recent information from CMS, provider Bradley Darian Scott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740417161Provider TypeIndividualFull NameScott, Bradley DarianTitleMr.CredentialOTR/LGenderMaleSole ProprietorYesEnumeration Date6/11/2009Last Updated5/2/2017Contact InformationPractice LocationPractice Address3463 Magic Dr Ste 255, San Antonio, TX 78229-2998Phone(210) 582-5840Fax(210) 582-5841Mailing LocationMailing Address3463 Magic Dr Ste 255, San Antonio, TX 78229-2998Phone(210) 582-5840Fax(210) 582-5841Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense113475Texas